Size Question Regarding Breast Implants for petite 5'4 114 lbs

There is no absolute and accurate rule of thumb when it comes to choosing breast augmentation sizes. Bringing in a photo to your plastic surgeon demonstrating the proportional size and look you are after is very helpful. It is very difficult to determine the exact size and shape implant you will require without an examination by a board certified plastic surgeon. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size and shape to obtain your goals. Without knowing these dimensions it would be tough to answer your question. For example your native base width of your breast will determine in many cases the maximal volume per implant profile that you can accommodate. To illustrate a 100 cc difference may make a significant difference with a narrow base width, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Additional critical decisions will also be made by your plastic surgeon such as: whether your implants will be above or below your pectoralis muscle. These choices are recommended to you based on the look you desire, the amount of sagging you may have, and other deciding factors. I always find it helpful for patients to bring in photos from my or other plastic surgeons’ websites to illustrate what they would like to look like. I bring these photos to the operating room for reference during surgery so that I have the advantage of “seeing through my patient’s eyes” to achieve their wishes.I personally order more than one set of implant sizes and use sterile sizers placed in the pocket during surgery to know in advance exactly which implant would work best for you. Software morphing programs can be helpful in some but not all cases (e.g. doesn't work well in my experience with existing implants, sagging or asymmetric breasts).My advice is to accept advice from your board certified plastic surgeon after a formal consultation and examination with measurements.. If still confused don't hesitate to get a second opinion.

Don't get caught up in the # of cc's. You are talking a 60cc difference here which is 12 teaspoons. In the whole picture of your appearance after breast augmentation, it probably doesn't make much difference. Keep in mind, that you are petite, larger implants in your tiny frame will have more complications. Expect surrounding tissue thinning from the pressure of the implant, risks for sagging over time,  and rippling (despite the High Profile silicone prosthesis) related to thin overlying coverage. I would stick with the 400 cc implant. This should get you to a D, although no cup size can be guaranteed. It's also hard to say without a photo--so I would also go with what your surgeon recommends.